King Manor Care and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at King Manor Care and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, patternF684Mar 26, 2026

  Based on observation, interview and record review, it was determined that the facility failed to ensure staff provided care in a manner for residents to attain their highest practicable physical and psychosocial well-being by ensuring processes were put in place a.) to identify a change in condition in a timely manner, b.) to assess any decline in the functional status of a resident (Resident #58) who required assistance with bathing and was not provided a shower for over three months, and c.) to ensure a recommended physician follow-up appointment was scheduled. […]

• Actual harm, patternF689Mar 26, 2026

  Based on observation, interview, record review, and review of pertinent documents, it was determined that the facility failed to a.) provide adequate supervision and implement targeted interventions to prevent falls for a resident (Resident #58) who sustained six falls between 12/5/25 and 2/26/26, including multiple unwitnessed falls and three falls that required hospitalization. On 2/8/26, Resident #58 sustained a right periorbital hematoma (bruising and swelling of the tissue around the eye) with a 2-centimeter laceration to the right eyebrow from an unwitnessed fall. This deficient practice was identified for 1of 2 residents reviewed for falls (Resident #58). […]

• No harm, potential for more than minimal, widespreadF568Mar 26, 2026

  Based on observation, interview and document review it was determined that the facility failed to have a system in place to ensure quarterly financial statements were provided to residents who maintained Personal Needs Account (PNA) funds with the facility. This deficient practice was identified for 7 of 7 residents who attended a resident council meeting, and affected all 84 residents identified as maintaining a facility PNA account.The evidence was as follows: On 3/23/26 at 8:13 AM, the Licensed Nursing Home Administrator (LNHA) provided the surveyor with a list of all Personal Need Account balances as of 3/19/26. The Trial Balance listed 84 total PNA accounts with a $33,770.89 balance held by the facility. […]

• No harm, potential for more than minimal, widespreadF569Mar 26, 2026

  Based on observation interview and document review it was determined that the facility failed to ensure a process was in place to ensure that all residents that maintained a Personal Needs Account (PNA) that approached the limit that could jeopardize a resident's eligibility for Medicaid or Supplemental Security Income (SSI) were notified. This deficient practice was identified for a resident who had PNA funds in excess of $2000.00 (Resident #56) and affected all 84 residents who maintained a facility PNA. The evidence was as follows: On 3/23/26 at 8:13 AM, the Licensed Nursing Home Administrator (LNHA) provided the surveyor with a list of all Personal Need Account balances as of 3/19/26. […]

• No harm, potential for more than minimal, widespreadF725Mar 26, 2026

  Based on observation, interview, record review and review of pertinent documents it was determined that the facility failed to ensure that there was sufficient competent staff to ensure a) all residents were provided with appropriate and timely incontinence care, nail care and were consistently available to provide appropriate care to maintain residents highest practicable physical, mental, and psychosocial wellbeing and b) the minimum staffing requirements per the New Jersey Department of Health based on acuity of the residents was maintained. The deficient practice was identified for 5 of 5 residents reviewed (Resident #10, #31, # 58, #68 and #122) and had the potential to affect all residents who resided in the facility.The evidence was as follows: Refer to F677a)1. […]